Leading North American companies used to be headed by engineers and innovators. Today, however, managers and accountants hold the reins. The result? Less focus on innovation, and more on efficiency and maintaining revenue.

Advertising is no different. Today, the owners of agencies and networks are vast holding companies that don't put much stock in risky new ideas.

That has created a crisis in confidence in the sector, with vital young talent departing for more innovative careers in sectors like tech.

Andrew Carty's agency Send+Receive is rethinking the role of agencies, and changing a number of accepted practices to put the focus back where it belongs. Crafting great ideas.

Andrew joined me for a lively discussion where we covered issues as far-reaching as billable hours vs outcomes, and the failure of consumer insights to generate ads worth watching.